Lyndon J. Aguiar, PH.D.

Individual provider Active NPI Counseling Psychologist · Hanover, VA

NPI 1376861617 · NPPES record last updated Mar 27, 2018

Key facts

NPI
1376861617
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
Practice address
10515 Cabaniss LN
Hanover, VA 23069-1840
Phone
(804) 559-9959
Fax
(888) 464-1257
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810004342VAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004342 VA
Counseling Psychologist 103TC1900X Yes

Addresses

Primary practice location

10515 Cabaniss LN
Hanover, VA 23069-1840

Mailing address

5603 Sandstone Ridge Rd
Midlothian, VA 23112-6300
Phone (804) 639-5695

Other providers in Hanover, VA

All providers in Hanover, VA · Counseling Psychologist in Virginia

Sources for this page

Verify at the official NPI Registry.